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女性生殖器割礼与尿结石

Urinary calculus associated with female genital cutting

作     者:Nour N.M. 朱亮 

作者机构:African Women's Health Center Brigham and Women's Hospital Department of Maternal Fetal Medicine 75 Francis Street Boston MA 02115 United States Dr. 

出 版 物:《世界核心医学期刊文摘(妇产科学分册)》 (Core Journal in Obstetrics/Gynecology)

年 卷 期:2006年第2卷第11期

页      面:53-54页

学科分类:1002[医学-临床医学] 100210[医学-外科学(含:普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 100211[医学-妇产科学] 10[医学] 

主  题:女性生殖器 尿结石 锁阴术 性交困难 残余组织 锐痛 大阴唇 阴道口 临床症状 

摘      要:BACKGROUND: Female genital cutting is a cultural practice seen in parts of Africa and Asia. Women who have undergone type III female genital cutting (excising the external genitalia and suturing the remnant tissue to cover the urethra and part of the introitus) can suffer various long-term complications. Defibulation, a procedure that opens the overlying scar can alleviate or resolve symptoms. CASE: A 32-year-old Somali woman presenting with type III female genital cutting complained of infertility, dyspareunia, dysmenorrhea, and exquisite pain upon sitting. She underwent a defibulation procedure to create neolabia majora. Intraoperatively, a 0.8 cm urinary calculus was found beneath the urethra. Postoperatively, all of her symptoms resolved. CONCLUSION: Infibulated scars create a favorable environment for stagnant urine to crystallize and become a urinary calculus.

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